Mobile Orthopaedic Services (MOS KENYA)
My project idea actually stems from 2004 when I was still working at the KORC (Kikuyu Orthopedic Rehabilitation Center) in Nairobi. My plan was to offer mobile orthopaedic services in several hospitals in the Coast Province of Kenya. My project proposal actually drew the attention of CBM who then offered me a job in Dar es Salaam at CCBRT, as they had no funding for such a project in Kenya. After some years in Dar es Salaam and while I was working as the medical director of the CCBRT Rehabilitation Department I tried to kick-start a similar project in Tanzania. But after I had already secured some private funding, the project didn’t take off there and I asked APDK in Mombasa if they were interested, which they were.
The project has now been running since over a year and consists of training, outpatient clinics and surgeries in 4 different District Hospitals as well as acting as the consultant orthopaedic surgeon for the APDK Rehabilitation Clinic in Mombasa. APDK has a well organized outreach project, whereby a team visits remote places in Coast Province on a regular basis to look for children (and adults) with disabilities.
They are then referred to the Port Reitz Rehabilitation Center. Some patients, like hydrocephalus/spine bifida cases and some complex orthopaedic cases (which I can’t operate) are then referred to Kijabe Hospital and others are operated by me. In the hospitals south of Mombasa, I deal mostly with adult patients with limb fractures. After I found the SIGN organization, I can now offer patients with femur and tibia fractures a state of the art operating technique and I can deliver it at no extra cost for the patients.
Since February this year (when I started keeping proper statistics) I have operated 161 children and adults. Most of them wouldn’t have been able to afford proper orthopaedic treatment and would now be more or less disabled without these interventions. I have also been able to raise the standard of orthopaedic treatment in the hospitals of Msambweni, Kwale, Kinango and Port Reitz considerably, due to the constant visits and training sessions there.